The automated system is available anytime. Most Pediatric Dentists provide different levels of sedation, when needed, and some even The latest Arizona headlines, breaking news, in-depth investigations, politics, and local community stories that matter to you. Dr. Buckley graduated from the University of Connecticut School of Medicine in 1983. One option is Adobe Reader which has a built-in reader. To report fraud, waste or abuse, call our hotline: 1-800-437-3803 Hospitals or facilities: 1-800-249-5103 Box 68710 Physicians and professionals: 1-800-344-8525 TrademarkElite is the U.S. #1 Trademark Search and Registration Service :: BLUE GLOBAL SOLUTIONS is a trademark and brand of Blue Cross and Blue Shield Association, Chicago, IL . [Maryland and WDC] Offers healthcare insurance to residents of Maryland and Washington, DC. Provider Finder Find a dentist in . Log In to the Shopping Cart, Need to Make a Payment? 1-855-504-2583 London, KY 40742. If you have a dentist you like who's not a PPO in-network dentist or there aren't many in-network dentists near you, a PPO plan may be better for you. 4202 S University Ave, Little Rock, AR 72204 1.14 miles. 8:30 a.m. to 4:30 p.m. like alveoplasties or cleft lip/palate surgery. Verify patient eligibility and benefits Just keep in mind you'll need to go through the prompts before you're connected to someone. Blue Cross and Blue Shield of Texas, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association, PDF File is in portable document format (PDF). Federal Employee Program providers and facilities: 1-800-840-4505. Read our manuals to learn more about our programs, policies and procedures. Get access to your online account.Register Now, Not registered? HMO coverage is offered by Health Options Inc., an HMO subsidiary of Blue Cross and Blue Shield of Florida. DeltaCare USA: This plan is prepaid on an annual basis and has, among other benefits, no deductible or annual dollar maximums. Dental Provider Resources Have you used our online dental claims, eligibility, and benefits website? Quickly find a general dentist or specialist. 1-844-876-7917 Italiano, Register Now, Not registered? As a Blue Dental member, you have access to a network of dentists who provide lower costs for the services you receive. e-referral Provider Search feature Within the e-referral tool, you can search by provider name or national provider identifier. Choose a dental network from the list below to search for a dentist. The full text or spelling is not required for the city and dentist name fields. Are you unable to find your provider in the search results? Blue Cross Blue Shield of Michigan . We also offer two Dental PPO benefit structures. Get access to your online account. Covering Phoenix, Mesa, Glendale, Scottsdale, Gilbert, the valley . Blue Dental PPO Plans Physicians and professionals: 1-800-344-8525 Hospitals or facilities: 1-800-249-5103 Vision and hearing providers: 1-800-482-4047 Federal Employee Program providers and facilities: 1-800-840-4505 While our automated response system is available to any provider who needs it, we strongly encourage providers to log in or learn how to get an account. P.O. Periodontists specialize in gums and gum disease. primary (baby) teeth are lost by age 12, some Pediatric Dentists institute patient age limits, 2021 BlueCare Dental PPO (Mid-Market) Plans. Dental providers should log in to their secured portal to contact someone for questions about care, payment and claims. Fully Insured Summary of Dental Benefits 2022 BlueCare Dental PPO (Small Group) Plans Automated information is available anytime. Dental providers who can't able to access their account can read theDental Summary Guide (PDF)to learn how to: To use the document, you'll need to know if your patient has a Medicare Advantage plan, Federal Employee Program plan or a commercial plan. and Prevention (CDC), and state and local public health departments. Box 69436, Harrisburg, PA 17106-9436. Nine service categories are covered by the plan: Diagnostic & Preventive Services Miscellaneous Services Restorative Services General Services Endodontic Services Periodontic Services Agents. 1996-document.write(new Date().getFullYear()); Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross and Blue Shield Association. The content on the Dental Wellness Center website is provided by go2dental.com. Important Legal and Privacy Information|Important Information About Medicare Plans|Privacy Practices Register Now, Not registered? Blue Cross and Blue Shield of Texas (BCBSTX) is providing access to the Dental Wellness Center website as a courtesy, as part of its BlueCare Dental Connection program. Not registered? Portugus, Note: The FEP phone system has a different set of prompts than the others. Note:It can take up to 30 days for a claim to be processed. 2021 BlueCare Dental PPO (Mid-Market) Plans - Spanish. periodontal services, like deep cleanings (scaling and root planning), they will often refer Anytime! Not all Endodontists will provide endodontic services For more general information about coronavirus resources available to the public, you may also call the Tennessee Coronavirus Public Information Line at 1-877-857-2945. BCBSTX assumes no liability or responsibility for damage or injury to persons or property arising from the use of any product, information, idea, or instruction contained on the Dental Wellness Center website; go2dental.com issolely responsible for the content and any advice given on its website. As a Blue Cross Blue Shield of Michigan and Blue Care Network provider, you're part of the largest network in the state. Franais, 1-800-762-2382 Blue Cross Blue Shield of Michigan For Providers: Contact Us If you're a provider who needs to contact us about one of our Blue Cross Blue Shield of Michigan, Blue Care Network or our Medicare products, start here. Once you have located the . Not Registered? Information for Brokers, employers, and providers, as well as links to consumer health and wellness sites. Need more information? patients to a Periodontist when they are in need of more intensive treatment. Hospitals or facilities: 1-800-249-5103. Find a dentist. Choose providers (doctors, dentists) in your network (a group of providers covered by your plan). The network is available through contracted general dentists and specialists throughout Arizona. For details on a provider's in-network status or your own policy's coverage, contact your Local Blue Plan and ask your provider before making an appointment. Not Registered? BlueCare Dental PPO offers an expansive local network of dentists with more than 13,000 access points in Illinois, and more than 378,000 nationwide. The information on this other site may not always state the views of BCBSTX. Providers. It also verifies that you'll provide quality care to our members. All here in your neighborhood. It can also send you a copy of your claim's status. Within the United States, to search for a dentist by location, supply your city (optional) and state. More detailed searches are possible by clicking on More Search Options. Passive plan options pay out-of-network dental services at U&C. Dr. Michael David Stout, MD. Do you have questions about dental benefits not answered here? Birmingham, AL 35238-0518. Say "fax or email" to receive a copy of your claim's status. Employers. You are entitled to obtain a detailed understanding of additional services or assistance that the Individuals attempting unauthorized access will be prosecuted. Get fast, easy access to everything you need when you log in to the secured provider portal. It is a NON-profit Health Plan -- has been around at least 50 years. BCBSTX is not liable or responsible for damage or injury to persons or property that result from the use of anything found on this other site such as: BCBSTX cannot guarantee the accuracy of any statements made on other websites. London, KY 40742. Use our search form to find a dentist quickly and easily. Take a class. Blue Cross and Blue Shield of Texas, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association, PDF File is in portable document format (PDF). We offer "passive" dental PPO plans, where the benefit level is the same for both network and non-network dentists. Take Action. P.O. If you don't have an account yet, you can check claims for BCBSM patients with our automated system. We provide health insurance in Michigan. Get access to your online account.Register Now, Not registered? You may still see an out-of-network dentist, but you may have to submit your own claim for reimbursement. You can write to us by finding your ZIP code with the relevant mailing address. The content on the Dental Wellness Center website is provided by go2dental.com . Say "another member" to inquire on another member. When you have a member selected and then go to select a provider, the system will indicate if the provider is "in" or "out" of network for that member. Since out-of-network dentists do not have contracts with Blue Cross, you'll have higher out-of-pockets costs. To get credentialed, you'll need to visit CAQH.org. BlueCare Dental PPO SM * BlueCare Dental HMO SM * Providers | BlueCare Tennessee As a BlueCare Tennessee network provider dedicated to the health of your patients and our members, you'll find what you need here for your office or facility. If you're practicing outside Michigan, use these documents to learn how to submit a prior authorization: 1996-2023 Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross and Blue Shield Association. We use prior authorization, also known as preauthorization or precertification, to ensure patients are getting the right care. Essential Vision providerssubmit claims throughHeritage Vision Plan. You can register here. If you visit a provider or location that is not in your network, you will pay more of the cost. State and Federal Privacy laws prohibit unauthorized access to Member's private information. Get access to your agent portal. The network providers listed in this directory have agreed to provide you with your health care and dental services. Blue Cross Blue Shield FEP Dental complies with all applicable Federal civil rights laws, to include both Title VII and Section 1557 of the ACA. Enter a partial or full name along with the Specialty and Location. Although every dentist will accept Blue Dental PPO plans, your coverage may vary based on their network participation with PPO in-network dentists providing the most savings, Blue Par Select dentist providing some savings and out-of-network dentist providing the least savings for you as a member. . For more information, see: Online provider search bcbsm.com has an online provider search that allows you to look for affiliated providers by first selecting the member's Blue Cross or BCN product and then viewing the network choices by type of care and location. With virtual health care, you have access to providers 24/7, and you can access care that works for your schedule. Exclusive Savings for Dental Network Providers Our Dental Provider Savings Program offers network providers discounts of up to 40% on in-demand products (PPE equipment, scanners), lab services (implants, clear aligners, dentures), and turnkey teledentistry solutions for your office. provider(s) office is able to offer in support of the patient's specific needs under the Federal American When you see a Blue Par Select dentist, these dentists aren't in-network, but agree to participate with us. Members. You can also talk to your provider consultant. External link You are leaving this website/app (site). Check out our FAQs page to get answers to questions, or Contact Us with any questions you may have. These companies are Independent Licensees of the Blue Cross and Blue Shield Association. 2023 Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross and Blue Shield Association. During surges in COVID-19, we've taken significant steps to remove barriers for members to receive care while streamlining certain necessary requirements for our providers. It's more than just business when you join the Blue Cross network. To find out if your plan includes pediatric dental coverage, please check your Summary of Benefits and Coverage (SBC). The BlueCare Dental HMO network includes specialists such as oral surgeons, orthodontists, pediatric dentists, endodontists (specialists in diseases of the nerve within the tooth) and periodontists (specialists in diseases of the gums and tissues). 1. Masshealth Dental Provider Login . Enter your City and State or Zip Code and desired Radius. Say "another contract" to inquire on another contract. Step 4: Say "yes" when asked if you have additional questions about the determination of the claim. A dentist may refer you Grand Rapids, MI 49523-0589, Provider Inquiry View our map (PDF). Step 7: Listen to your claim's status, which includes the following information: Say "same member" to inquire on another member. Finding a dentist in the Blue Dental PPO network or who has participated through Blue Par Select in the past is easy. During this unprecedented time, we're taking action to support our members. Blue Cross Blue Shield is part of the Anthem family of brands, which features a vast network of dental providers located all over the U.S. Blue Cross Blue Shield Medicare Advantage (Medicare Part C) plans and Medicare plans from other Anthem brands can often cover a range of dental benefits. External link You are leaving this website/app (site). Physicians and professionals: 1-800-344-8525, Vision and hearing providers: 1-800-482-4047, Federal Employee Program providers and facilities: 1-800-840-4505.